Latuda can cause sleepiness. I was taking it during the day, but I was so sleepy that it was too dangerous to drive. Now I take it at night.

Mental and physical health are very intertwined. Your Pdoc was probably just wondering if the GP had any insight on his/her end.

My Pdoc and GP work at the same clinic, so they get to read each other's notes. My Pdoc does all she can with psych meds. My GP makes sure my physical health isn't affecting my mental health. My GP referred me to an endocrinologist to test my hormones. Both my GP and endocrinologist are making sure that my hormones aren't too high/low and that my diabetes is being control. Both affect mental health.

So no, I don't think your Pdoc is incompetent. I think you should sign a release allowing the two to talk to each other so they're on the same page (just my personal opinion). You might also want to look into getting a DNA test that will show how each medication is processed through your liver. It will help when choosing which cocktail will help you the most.